Organization
BROOMFIELD PREMIER DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC S ITALIA DDS (PRESIDENT)
(303) 460-9366
Entity
Organization
Contact information
Practice address
899 HWY 287 STE 600, BROOMFIELD, CO 80020-7319
(303) 460-9366
Mailing address
899 HWY 287 STE 600, BROOMFIELD, CO 80020-7319
(303) 460-9366
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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